Active NPI
Adrian Rawson Davies, FNP
- Family Nurse Practitioner
- Portland, OR
National Provider Identifier
1770812117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201250057NP
- Practice address
- 1111 NE 99TH Ave
Suite 301
Portland, OR 97220-9428 - Phone
- (503) 963-2707
- Fax
- (503) 963-2802
- NPI assigned
- Dec 14, 2009
- Last updated
- Feb 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 620806 | CA | |
| Family Nurse Practitioner | 363LF0000X | 5014280 | NC | |
| Family Nurse Practitioner | 363LF0000X | 201250057NP | OR | Primary |
Addresses
Primary practice location
1111 NE 99TH Ave
Suite 301
Portland, OR 97220-9428
Mailing address
1111 NE 99TH Ave Ste 301
Portland, OR 97220-9442
Phone (503) 963-2707
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770812117 | Medicaid | WA | |
| 500657127 | Medicaid | OR |
Other names 1
- Adrian Elizabeth Rawson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 620806 | CA | MD | Family Nurse Practitioner |
| 5014280 | NC | MD | Family Nurse Practitioner |
| 201250057NP | OR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1770812117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 NE 99TH AVE STE 301",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972209442",
"telephone_number": "503-963-2707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 NE 99TH AVE",
"address_2": "SUITE 301",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972209428",
"telephone_number": "503-963-2707",
"fax_number": "503-963-2802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "ADRIAN",
"middle_name": "RAWSON",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-14",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "620806",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5014280",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201250057NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770812117",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500657127",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ADRIAN",
"last_name": "RAWSON",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.